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Related Experiment Videos

Legionnaires' disease presenting with empyema.

K A Randolph, J F Beekman

    Chest
    |March 1, 1979
    PubMed
    Summary

    Legionnaires' disease, a bacterial infection, can manifest as empyema, a serious pleural effusion. This case report documents the first known instance of Legionnaires' disease presenting as empyema.

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    Area of Science:

    • Infectious Diseases
    • Pulmonology
    • Critical Care Medicine

    Background:

    • Pleural effusions are recognized complications of Legionnaires' disease.
    • Empyema, a severe form of pleural effusion, has not been previously associated with Legionnaires' disease.

    Observation:

    • A 56-year-old female patient presented with a ten-day history of pleuritic chest pain.
    • Imaging revealed a large, loculated empyema.

    Findings:

    • Legionnaires' disease was confirmed through serum indirect fluorescent antibody testing.
    • This represents the first documented case of Legionnaires' disease presenting as empyema.

    Implications:

    • Highlights the importance of considering Legionnaires' disease in patients with empyema.
    • May necessitate broader diagnostic considerations for atypical presentations of Legionnaires' disease.
    • Informs clinical practice regarding the spectrum of pulmonary complications associated with Legionnaires' disease.

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